Irreplaceable multidisciplinary management of patients with chronic kidney disease

Experts agree that the more attention is paid to the patient, the slower the disease develops.

Dr. Nidia Kappas, Clinical Psychologist տնօրեն Director of the Primary Care Psychology Program at Ponce և University of Science (PHSU). Dr. Felix Perez, Interventional Nephrologist, Vascular Physician, and Valerie Rivera Giraldo, Nutritionist, Kidney Dietitian at Atlantis Healthcare. Photos. Contributed by specialists to the Journal of Medicine and Public Health.

Clinical management of these patients is vital, it is imperative every day that the treatment of this population be multidisciplinary, it should have targeted nutrition therapy և the intervention of a behavioral specialist who helps these patients manage their condition on a daily basis. life because of its effect on the family nucleus.

In this sense, that: Dr. Felix Perez, nephrologist, interventional և: vascular doctorHe explains that the most common causes of chronic kidney disease are diabetes, high blood pressure, or other underlying conditions. These are the two main causes.

Through his personal experience with family and friends, Perez tries to connect with patients, helping them to change their point of view, so that patients feel accompanied, see everything positively, looking at all the options they have today. compared to the kidneys. patients 50 or 100 years ago who just died.

Unlike other organs, such as the heart, which beats, or the lungs, which are deprived of air, what happens in the kidneys is silent, so it is possible for patients to see themselves more often. nephrologist or with their labs, as this is the tool that primary care physicians have և nephrologist be able to take the necessary action և eliminate the damage or stop it. A urine test or basic test can be done to evaluate the protein.

Hereditary factors such as diabetes և hypertension may also be involved, leading to kidney problems. When a patient reports that a family member is on dialysis, there is usually an inherited pattern. If a person has a relative with this, go for more reasons nephrologist.

There is no gender or age predisposition, but more than diabetes or high blood pressure, how long have you had these conditions and how much are they controlled? Nephrologists see a lot of patients who are 50 years old, but that’s because they already have diabetes between the ages of 35 and 40, and in the long run they start to see kidney damage.

multidisciplinary management

According to: Its. Nidia Kappas, Clinical psychologist տնօրեն Director of the Primary Care Psychology Program at Ponce Health & Sciences University (PHSU), the admission process goes through several stages, but the most important thing is that you realize that you need to seek help.

“We must keep in mind that when we talk about health, we are talking about mental health, whether physical or mental health is separated, but the truth is that they are connected,” he said.

In his explanation, Kappas pointed out that the relevant aspect of treating a patient gives him the strength to recognize his physical changes և how he sees himself, “they also have to learn to set boundaries, because many times people around them do not know their medical condition մեկնաբան Makes comments that hurt them.

The specialist stressed that in these cases it is necessary to prepare answers: “not to fight, but to inform that person that he has crossed the borders. The biggest challenge is when the patient is in denial or shock, the change of daily life and adaptation. Diagnose և Understand that I can be happy even when I know I have the disease.

Nutrition for kidney patients

In turn, in: Graduate Valerie Rivera Giraldo, Nutritionist: և: Kidney nutritionist at Atlantis HealthcareHe explained that the nutritional contribution depends to a greater extent on the stage ի the specific health condition of the patient, as each person has individual aspects և values ​​that must be taken into account when choosing the appropriate nutrition.

He said that when patients come to his consultation, they believe that he is going to forbid them to eat, և “it is part of the beliefs of our myths,, and the truth is the opposite, we want the patient to be. to be able to eat, to feed properly, so that treatment, as well as proper nutrition, prevents the progression of the disease. ”

The graduate assured that without adequate treatment in all respects, the disease develops in a short time, even within weeks, “nutrition is part of the success we want to achieve inside and outside the dialysis area, for the benefit of the patient, the idea.” is that you get the nutrients you need.

The biggest challenge for alumni in the field of nutrition is that they have to break the myths, recognize the reality of the sick, we are not here to tell the sick to eat. We do not want them to deteriorate, that they are within their normal range. “You can share it with your family to identify your food,” he concluded.

Personal experiences that mark

From personal experience, with family և friends, he Dr. Felix Perez He always tries to connect with patients, helping them to change their point of view, so that patients feel accompanied, see everything positively, considering all the possibilities they have today, compared to patients with kidney disease 50 years ago or 100 years ago, they just died. .

“Dialysis does not kill anyone, it is a filter,” he said, referring to the fears that many people have, but people die from other conditions than this, so we need to know that it is not harmful. It is a sacrifice for a person, but it allows the patient to prolong his life, to have a better quality. There are people who can not walk because they are swollen, can not breathe, do not feel the taste of food, but the patient on dialysis can have a better quality of life, achieving balance.

The doctor reminds that patients should not refuse treatment, because “the kidney may deteriorate, the patient may not understand it,” Perez emphasizes.